[Federal Register Volume 79, Number 172 (Friday, September 5, 2014)]
[Notices]
[Pages 53069-53071]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-21180]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10329, CMS-10422, CMS-10532 and CMS-10394]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
ACTION: Notice.
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SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (the PRA), federal agencies are required to publish notice
in the Federal Register concerning each proposed collection of
information (including each proposed extension or reinstatement of an
existing collection of information) and to allow 60 days for public
comment on the proposed action. Interested persons are invited to send
comments regarding our burden estimates or any other aspect of this
collection of information, including any of the following subjects: (1)
The necessity and utility of the proposed information collection for
the proper performance of the agency's functions; (2) the accuracy of
the estimated burden; (3) ways to enhance the quality, utility, and
clarity of the information to be collected; and (4) the use of
automated collection techniques or other forms of information
technology to minimize the information collection burden.
DATES: Comments must be received by November 4, 2014.
ADDRESSES: When commenting, please reference the document identifier or
OMB control number (OCN). To be assured consideration, comments and
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recommendations must be submitted in any one of the following ways:
1. Electronically. You may send your comments electronically to
http://www.regulations.gov. Follow the instructions for ``Comment or
Submission'' or ``More Search Options'' to find the information
collection document(s) that are accepting comments.
2. By regular mail. You may mail written comments to the following
address: CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development, Attention: Document Identifier/OMB
Control Number , Room C4-26-05, 7500
Security Boulevard, Baltimore, Maryland 21244-1850.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, you may make
your request using one of following:
1. Access CMS' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
2. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to [email protected].
3. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the use and burden associated
with the following information collections. More detailed information
can be found in each collection's supporting statement and associated
materials (see ADDRESSES).
CMS-10329 Consumer Operated and Oriented (CO-OP) Program
CMS-10422 Payments for Services Furnished by Certain Primary Care
Providers and Supporting Regulations in 42 CFR 438.804, 447.400, and
447.410
CMS-10532 Risk Corridors Transitional Policy
CMS-10394 Application to Be a Qualified Entity to Receive Medicare
Data for Performance Measurement
Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain
approval from the Office of Management and Budget (OMB) for each
collection of information they conduct or sponsor. The term
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests or requirements that members of
the public submit reports, keep records, or provide information to a
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies
to publish a 60-day notice in the Federal Register concerning each
proposed collection of information, including each proposed extension
or reinstatement of an existing collection of information, before
submitting the collection to OMB for approval. To comply with this
requirement, CMS is publishing this notice.
Information Collection
1. Type of Information Collection Request: Revision of a currently
approved information collection; Title of Information Collection:
Consumer Operated and Oriented (CO-OP) Program; Use: The Consumer
Operated and Oriented Plan (CO-OP) program was established by Section
1322 of the Affordable Care Act. This program provides for loans to
establish at least one consumer-operated, qualified nonprofit health
insurance issuer in each State. Issuers supported by the CO-OP program
will offer at least one qualified health plan at the silver level of
benefits and one at the gold level of benefits in the individual market
State Health Benefit Exchanges (Exchanges). At least two-thirds of
policies or contracts offered by a CO-OP will be open to individuals
and small employers. Profits generated by the nonprofit CO-OPs will be
used to lower premiums, improve benefits, improve the quality of health
care delivered to their members, expand enrollment, or otherwise
contribute to the stability of coverage offered by the CO-OP. By
increasing competition in the health insurance market and operating
with a strong consumer focus, the CO-OP program will provide consumers
more choices, greater plan accountability, increased competition to
lower prices, and better models of care, benefiting all consumers, not
just CO-OP members.
The CO-OP program will provide nonprofits with loans to fund start-
up costs and State reserve requirements, in the form of Start-up Loans
and Solvency Loans. An applicant may apply for (1) joint Start-up and
Solvency Loans; or (3) only a Solvency Loan. Planning Loans are
intended to help loan recipients determine the feasibility of operating
a CO-OP in a target market. Start-up Loans are intended to assist loan
recipients with the many start-up costs associated with establishing a
new health insurance issuer. Solvency Loans are intended to assist loan
recipients with meeting the solvency requirements of States in which
the applicant seeks to be licensed to issue qualified health plans.
Form Number: CMS-10392 (OMB control number: 0938-1139); Frequency:
Occasionally; Affected Public: Private sector--Not-for-profit
institutions; Number of Respondents: 23; Total Annual Responses: 583;
Total Annual Hours: 11,621. (For policy questions regarding this
collection contact Deepti Loharikar (301-492-4126).
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Payments for
Services Furnished by Certain Primary Care Providers and Supporting
Regulations in 42 CFR 438.804, 447.400, and 447.410; Use: The
information will be used to document expenditures for the specified
primary care services in the baseline period for the purpose of then
calculating the expenditure eligible for 100 federal matching funds in
calendar years 2015 and 2016, should Congress extend the availability
of such funding and make no additional changes in statutory language
necessitating programmatic alterations. Form Number: CMS-10422 (OMB
control number: 0938-1170); Frequency: Yearly, once, and occasionally;
Affected Public: State, Local, or Tribal Governments; Number of
Respondents: 51; Total Annual Responses: 126,021; Total Annual Hours:
63,240. (For policy questions regarding this collection contact Linda
Tavener at 410-786-3838).
3. Type of Information Collection Request: New collection (Request
for a new OMB Control Number); Title of Information Collection: Risk
Corridors Transitional Policy; Use: Section 1342 of the Patient
Protection and Affordable Care Act of 2010 (the Affordable Care Act)
provides for the establishment of a temporary risk corridors program
that will apply to qualified health plans in the individual and small
group markets for the first three years of Exchange operation. The
implementing regulations for this provision are located in Part 153
Title 45 of the Code of Federal Regulations. A final rule was published
on March 11, 2014 (79 FR 13834, CMS-9954-F) and is effective May 12,
2014. Under 45 CFR 153.530(e), each issuer conducting business in the
individual and small group markets in states that adopted the
transitional policy is required to submit enrollment data, including
enrollment in transitional policies (i.e. individual or small group
health insurance coverage in states that adopted the transitional
policy announced in the Centers for Medicare and Medicaid (CMS) letter
dated November 14, 2013), on the ``Transitional Adjustment Reporting
Form'' prescribed by CMS, for each state in which the issuer conducts
business.
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We will use the data collection to amend the risk corridors program
provisions in 45 CFR Part 153 to mitigate any unexpected losses for
issuers of plans subject to risk corridors that are attributable to the
effects of this transitional policy. Specifically, we will use the data
to calculate the risk corridors adjustment percentage, if any, in
transitional states. Form Number: CMS-10532 (OMB control number: 0938--
New); Frequency: Once; Affected Public: Private Sector, Business or
other for-profits and not-for-profit institutions; Number of
Respondents: 400; Total Annual Responses: 400; Total Annual Hours: 400.
(For policy questions regarding this collection contact Jaya Ghildiyal
at (301) 492-5149).
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Application to Be
a Qualified Entity to Receive Medicare Data for Performance
Measurement; Use: Section 10332 of the Patient Protection and
Affordable Care Act (ACA) requires the Secretary to make standardized
extracts of Medicare claims data under Parts A, B, and D available to
``qualified entities'' for the evaluation of the performance of
providers of services and suppliers. The statute provides the Secretary
with discretion to establish criteria to determine whether an entity is
qualified to use claims data to evaluate the performance of providers
of services and suppliers. We are proposing at section 42 CFR 401.703
to evaluate an organization's eligibility across three areas:
Organizational and governance capabilities, addition of claims data
from other sources (as required in the statute), and data privacy and
security. This is the application through which organizations will
provide information to CMS to determine whether they will be approved
as a qualified entity. Form Number: CMS-10394 (OMB control number:
0938-1144); Frequency: Occasionally; Affected Public: Private sector--
Business or other for-profits and Not-for-profit institutions; Number
of Respondents: 35; Total Annual Responses: 35; Total Annual Hours:
6,833. (For policy questions regarding this collection contact Kari
Gaare at 410-786-8612).
Dated: September 2, 2014.
Martique Jones,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2014-21180 Filed 9-4-14; 8:45 am]
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